MEDICARE: ENDOCARE CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1891646378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOCARE CLINIC LLC

Provider Business Mailing Address
First Line	:	#300 AVE FELISA RINCON DE GAUTIER
Second Line	:	SUITE #1
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	#300 AVE FELISA RINCON DE GAUTIER
Second Line	:	SUITE #1
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-936-2066
Fax Number	:

Authorized Official
Title or Position	:	ENDOCRINOLOGIST
Name	:	ANDREA DEL TORO-DIEZ
Credential	:	MD
Telephone Number	:	787-473-1214

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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